[27F] Experiencing severe nausea, dizziness, and stomach cramping

Patient Description

A 27-year-old female has been experiencing severe nausea without vomiting for three days, which worsens with movement and upon standing. The nausea is rated 8/10 in severity and is accompanied by lightheadedness, particularly when getting up, rated 7/10. She also reports stomach cramping with a severity of 6/10. The patient has had near-fainting episodes but has not fainted. She experienced a migraine with aura four days ago. The patient has a history of thyroid issues diagnosed at age 13 and currently takes Wellbutrin XL 150 mg, Levothyroxine 25 mcg, and Benadryl 25 mg daily. She uses a vape and has no known medication allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Vestibular Neuritis: This condition is an inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. Nausea and vomiting can occur due to the disturbance in balance.

    • Treatment usually involves medications to control nausea and dizziness, and sometimes corticosteroids. Vestibular rehabilitation therapy may also be recommended.
  • Migraines: Migraines can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment of migraines usually involves medications to help reduce the frequency and severity of migraines. Lifestyle changes, such as managing stress and avoiding certain foods, can also help.
  • Gastroenteritis: Also known as the stomach flu, this condition can cause nausea, vomiting, and abdominal cramping. It's usually caused by a viral or bacterial infection.

    • Treatment usually involves rest, hydration, and over-the-counter medications to help with symptoms.
  • Medication side effects: Both Wellbutrin and levothyroxine can cause nausea and dizziness as side effects.

    • If this is the cause, your doctor may adjust your dosage or switch you to a different medication.

What you can do

  • Hydrate: Make sure to drink plenty of fluids to avoid dehydration, especially if you're feeling nauseous or vomiting.

  • Rest: Try to get plenty of sleep and avoid stressful situations as much as possible.

  • Over-the-counter medication: There are over-the-counter medications that can help with nausea and dizziness. However, you should consult with a healthcare professional before starting any new medication.

  • Consult with a healthcare professional: Given the severity and duration of your symptoms, it's important to consult with a healthcare professional. They can provide a formal diagnosis and appropriate treatment.

What you should look out for

  • If your symptoms persist or worsen, seek medical attention immediately.
  • If you experience any new symptoms, such as a high fever, severe abdominal pain, or a severe headache, seek medical attention immediately.
  • If you experience any signs of dehydration, such as dark urine, dry mouth, or feeling extremely thirsty, seek medical attention.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What are the common symptoms of vestibular neuritis?

Common symptoms of vestibular neuritis include sudden, severe dizziness (vertigo), balance problems, nausea, and sometimes vomiting. It is often caused by a viral infection affecting the inner ear.


Can migraines cause nausea and lightheadedness?

Yes, migraines can cause nausea and lightheadedness. They are often accompanied by other symptoms such as severe headache, sensitivity to light and sound, and sometimes visual disturbances known as aura.


What are the potential side effects of Wellbutrin and Levothyroxine?

Wellbutrin can cause side effects such as nausea, dizziness, dry mouth, and insomnia. Levothyroxine may cause symptoms like headache, nervousness, and weight changes. It's important to discuss any side effects with your doctor.


How can I manage nausea and dizziness at home?

To manage nausea and dizziness at home, stay hydrated, rest, and avoid sudden movements. Over-the-counter medications like antihistamines can help, but consult with a healthcare professional before taking new medications.


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